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Youth Group Registration

Child's Information

Please complete one form per child

Please note: There is a 3% fee added to all credit card transactions. To bypass this fee, please contact, Enrollment in Or Tzion's youth groups is contingent upon signed child and parent code of conduct forms. You can find these forms at Congregation Or Tzion Youth.

Medical Information

Field Trips

I hereby authorize my child to participate in field trips and programs with Or Tzion's Youth Groups. I agree to hold our Congregation (including its board, officers, staff, and volunteers) harmless from any and all claims that may arise out of his/her participation in trips and programs. Note: Parents will receive advance notice about field trips held throughout the year.

Publicity Release For Minors

We occasionally submit pictures of our activities for publication and/or post them on our website. Please select your permission to publish pictures of your child. I hereby consent to the publication of photographs, quotes, and video of my son/daughter on the Or Tzion website and social media sites for the duration of my child's enrollment. Please note if you are okay with pictures and video and name listing, or okay for pictures and videos with names withheld.

Parent Information

Emergency Contacts

Please list two emergency contacts.

Payment Information

Sun, April 21 2019 16 Nisan 5779